RatePlug Agent Sign Up

Please supply a valid Agent ID. Click here to enter your Agent ID.

Please complete the form, verify this information is correct and then click submit

Agent ID

Name

Real Estate Company

E-mail Address*

Please verify your e-mail address is correct.

Work Phone*

Mobile Phone

Consent to receive text?

I consent to RatePlug contacting me via text messaging using the mobile phone number I provided.

Agent License(s) # *

Enter your License ID with text and # (ie: RE ID # 12345).

Please answer the following questions regarding the Lenders you work with?

Brokerage Affiliated Lender Information

Loan Officer Information

First Name

Last Name

Company

City

State

Mobile Phone*

Work Phone*

E-mail Address

Please review and verify the E-mail address since we will be contacting this Loan Officer. Also, Use a company e-mail address rather than a personal e-mail address (ie. gmail.com, yahoo.com)

Do you have a preferred Loan Officer that you know or work with?

Yes

Loan Officer Information

Please provide at least one lender

First Name

Last Name

Company

City

State

Mobile Phone*

Work Phone*

E-mail Address*

Please review and verify the E-mail address since we will be contacting this Loan Officer. Also, Use a company e-mail address rather than a personal e-mail address (ie. gmail.com, yahoo.com)

Add a SECOND Lender?

Additional Lender

First Name

Last Name

Company

City

State

Mobile Phone*

Work Phone*

E-mail Address*

Please review and verify the E-mail address since we will be contacting this Loan Officer. Also, Use a company e-mail address rather than a personal e-mail address (ie. gmail.com, yahoo.com)

Add a THIRD Lender?

Additional Lender

First Name

Last Name

Company

City

State

Mobile Phone*

Work Phone*

E-mail Address*

Please review and verify the E-mail address since we will be contacting this Loan Officer. Also, Use a company e-mail address rather than a personal e-mail address (ie. gmail.com, yahoo.com)

Personal Message - Sent to Loan Officer(s):

How did you hear about RatePlug?:

Please verify the information you entered is correct and then click submit.

When I click on 'submit', I authorize RatePlug to attempt to contact the designated Lender(s) listed above using the information provided to notify them of my desire to affiliate with them through the RatePlug program.

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RatePlug Agent Sign Up